Biologics, oncology, and GLP-1s — across both pharmacy and medical benefits. Our software pulls the clinical notes; our U.S. pharmacist team handles the PBM portal submission and the phone follow-ups.
Send us 5 stuck PAs — free See how it worksEvery week, prior authorization pulls your staff away from patients — and denials that should be approved slip through.
Sources: AMA prior authorization survey; AJMC. Most offices don't have time to appeal — that's revenue and care left on the table.
High-cost chronic and specialty medications drive the most prior auths — and the most denials. That's exactly the work we take off your desk.
Humira, Skyrizi, Dupixent, Rinvoq, Stelara — rheumatology, dermatology, GI.
Oral and infused oncology drugs, with the documentation payers demand.
Ozempic, Mounjaro, Wegovy and the step-therapy maze around them.
The same drug can run through the medical benefit (J-codes, buy-and-bill, infusions) or the pharmacy benefit (retail scripts) — with completely different rules. Our U.S. team manages that overlap so a PA never stalls because it went to the wrong place. Software finds the clinical evidence in the chart; a pharmacist assembles the case, works the PBM portal, and stays on the phone queue until it's resolved.
Upload, fax, or EHR feed — however you already work
Our software surfaces the clinical notes & matches PBM criteria
A pharmacist builds the strongest possible case
PBM portal submission + phone follow-ups & appeals
Real-time status back to your office
Free tools still leave every PA — and every phone call — on your staff. We pair software with a U.S. pharmacist team that submits, coordinates both benefits, and wins the denials others leave behind.
Move the sliders to your practice. This is staff time you get back for patient care.
Estimate for illustration. Actual results vary by specialty and payer mix. Higher approval rates also recover denied claims — not counted here.
Send PAs by secure portal, fax, or EHR feed. Nothing to rip and replace.
Files are encrypted before they leave your browser. We sign a BAA before any data moves.
A simple dashboard shows every PA's status — approved, in review, or appealed.
Send us five of your stuck specialty prior auths. We'll turn them around this week — free — and show you our approval rate on your own cases. No contract, no commitment.
Call us at (701) 335-8920 · or email sscprxauth+market@gmail.com